FARAH MOUSTAFA (Credential# 1803551) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 3, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
FARAH MOUSTAFA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064789. The credential type is physician/surgeon. The effective date is February 3, 2020. The expiration date is February 28, 2021. The business address is 160 Boylston Street, Chestnut Hill, MA 02467. The current status is active.
| Licensee Name | FARAH MOUSTAFA |
| Credential ID | 1803551 |
| Credential Number | 1.064789 |
| Credential Type | Physician/Surgeon |
| Business Address |
160 Boylston Street Chestnut Hill MA 02467 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-02-03 |
| Effective Date | 2020-02-03 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-03 |
| Street Address | 160 Boylston Street |
| City | Chestnut Hill |
| State | MA |
| Zip Code | 02467 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary W Hendren | 2 Harwich Rd, Chestnut Hill, MA 02467 | Architect | 2020-01-16 ~ 2020-07-31 |
| Melissa Lucy Larusso | 291 Independence Dr., Chestnut Hill, MA 02467 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
| Katharine Cronk | 11 Wolcott Road Ext, Brookline, Ma, MA 02467 | Physician/surgeon | ~ |
| Michael Yaniv | 336 South St, Chestnut Hill, MA 02467 | Home Improvement Salesperson | 2010-03-02 ~ 2010-11-30 |
| Kevin P Shaughnessy | 21 Sheate St, Chestnut Hill, MA 02467 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| Siris A Matei-zsok | 98 Gerry Rd., Chestnut Hill, MA 02467 | Registered Nurse | 2016-06-01 ~ 2017-05-31 |
| Rosemary Mazanet Md | 2442 Beacon St., Chestnut Hill, MA 02467 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mirna Lechpammer | 31 Thornton Road, Chestnut Hill, MA 02467 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
| Jeremy C Standring | 693 Heath Street, Chestnut Hill, MA 02467 | Emergency Medical Technician | 2008-08-28 ~ 2010-07-01 |
| Richard F Schmidt Jr | 78 Wolcott Rd, Brookline, MA 02467 | Architect | 2005-08-01 ~ 2006-07-31 |
| Find all Licenses in zip 02467 | |||
| City | Chestnut Hill |
| Zip Code | 02467 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Chestnut Hill |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Moustafa M Sabri | 567 Greenwood Road, North Brook, IL 60062 | Physician/surgeon | 2005-12-19 ~ 2007-01-31 |
| Usama M Moustafa | 200 Lake Shore Drive, Michigan City, IN 46360 | Physician/surgeon | 2007-09-05 ~ 2008-09-30 |
| Farah Toyserkani | 159 Barnegat Road - 2nd Floor, Poughkeepsie, NY 12601 | Physician/surgeon | ~ |
| Sarah M Moustafa | 208 Wooster St Apt 2, New Haven, CT 06511-5792 | Resident Physician | 2017-07-01 ~ 2018-06-30 |
| Farah Hakim | 290 Turnpike Rd Ste 150-414, Westborough, MA 01581-2843 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Farah Tabaja | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2018-07-01 ~ 2022-06-30 |
| Ashraf A Moustafa | 7 Breakwater Ln., Windsor, CT 06095 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Moustafa Elhosseni | 1- 74 Street, Brooklyn, NY 11209 | Pharmacist | 2020-03-06 ~ 2022-01-31 |
| Moustafa Mashaly | 42 Briarwood Ln Apt 16b, Branford, CT 06405-4352 | Pharmacy Technician | 2020-04-16 ~ 2021-03-31 |
| Edwin A Moustafa · Oyama | 136 Elm St, Enfield, CT 06082-3825 | Restaurant Liquor | 2018-07-24 ~ 2019-07-23 |
Please comment or provide details below to improve the information on FARAH MOUSTAFA.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).